Individual
ALISSA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5417 MADISON AVE, SACRAMENTO, CA 95841-3164
(916) 388-3231
Mailing address
2701 DEL PASO RD STE 130-187, SACRAMENTO, CA 95835-2305
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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